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2.
Bull Tokyo Dent Coll ; 65(1): 1-9, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38355115

RESUMO

The present study investigated the cyclic fatigue properties of titanium alloys (Ti-6Al-4V and Ti-6Al-7Nb) as implant materials and compared their properties with those of commercially pure titanium. Ti-6Al-4V and Ti-6Al-7Nb cylinders with diameters of 3.0 mm were examined. The surfaces of the cylinders were roughened by sand blasting with alumina particles and acid etching. Static and cyclic tests were performed according to ISO 14801:2016. The yield force in the static test (YS) was measured in 5 specimens of each alloy using a universal testing machine. The yield force in a cyclic test (YC) was measured in 20 specimens of each alloy using the staircase method, which involved applying a cyclic load at a frequency of 10 Hz for 106 cycles. After the cyclic loading tests, cross-sections of the specimens were examined under an optical microscope. The YS values for Ti-6Al-4V and Ti-6Al-7Nb were 1463 N±93 N and 1405 N±79 N, respectively, and the YC values were 870 N±58 N and 853 N±202 N, respectively. Microscopic observation revealed cracks on the tensile side of some of the specimens, including run outs and failures. The results of this study suggest that the YC values for Ti-6Al-4V and Ti-6Al-7Nb were 40% less than those for YS. The yield force of Grade-4 Cp-Ti significantly decreased after cyclic loading. The YC values for Ti-6Al-4V and Ti-6Al-7Nb were approximately 900 N, which was markedly greater than that for commercially pure, Grade-4 titanium (700 N).


Assuntos
Ligas , Implantes Dentários , Titânio , Materiais Dentários , Microscopia Eletrônica de Varredura , Propriedades de Superfície , Teste de Materiais , Ligas Dentárias
3.
Eur Endod J ; 9(2): 133 - 138, 2024 03 08.
Artigo em Inglês | MEDLINE | ID: mdl-38268112

RESUMO

OBJECTIVE: To evaluate the impact of different file access angles and root canal curvature's location on the fatigue failure of One Curve (OC) and E3 Azure (EZ) NiTi files using a dynamic model at simulated body temperature. METHODS: Eighty new instruments with similar tip sizes and taper (#25/0.06) from two NiTi rotary systems, One Curve and E3 Azure, were tested at simulated body temperatures (37°C) using a custom-made dynamic cyclic fatigue device. Instruments were divided into four subgroups according to the location of root canal curvature (a coronal curve 5 mm from the root canal orifice and an apical curve 10 mm from the root canal orifice) and the angle of file access (0° or 30°). Instruments were operated in simulated stainless-steel canals having a 60° curve and a 3 mm radius. A custom-made device produced controlled vertical pecks during file rotation. Time to failure (sec) was registered, and the length of the fragment segments was measured (mm). Data were analysed statistically with One-Way ANOVA and Tukey post hoc tests. The significance level was set at 5%. All separated instruments were examined by scanning electron microscope. RESULTS: One-way ANOVA (p<0.05) found a significant difference among the tested instruments. Post Hoc analysis revealed lower cyclic fatigue resistance when the angle of file access was 30º, and the root canal curvature was located coronally for both files (p<0.0001). Three-way ANOVA showed that the angle of file access was the most influential contributor to cyclic fatigue, followed by the location of file curvature and, finally, the file type (p<0.0001). The fractographic examination revealed a predominantly ductile fracture mode for all tested instruments. The lengths of all fractured segments showed no significant difference (p>0.05), indicating an accurate trajectory during testing. CONCLUSION: OC files had superior cyclic fatigue resistance than EZ files; coronal curvatures negatively impacted cyclic fatigue resistance compared to apical curvatures, while the angle of file access presented the highest impact on dynamic cyclic fatigue.


Assuntos
Ligas , Ligas Dentárias , Instrumentos Odontológicos , Níquel , Titânio , Falha de Equipamento , Preparo de Canal Radicular
4.
J Oral Sci ; 66(1): 60-65, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38233156

RESUMO

PURPOSE: To investigate the surface topography and nickel content of nickel-titanium (NiTi) archwires exposed to either routine oral hygiene or a prophylactic regimen with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) during orthodontic treatment. METHODS: This in vivo study involved 40 orthodontic patients with fixed appliances, who were randomly assigned to either a routine oral hygiene group or a CPP-ACP supplementary regimen group. Twenty new NiTi archwires served as controls. All archwires underwent scanning electron microscopy and energy-dispersive spectroscopy to evaluate their surface topography and elemental composition. The nickel content was quantified as a percentage of total weight and the Ni/Ti ratio, and statistical comparisons were made using pairwise tests. RESULTS: Wires exposed to fluoride toothpaste showed signs of pitting corrosion, deep grooves, and corrosion debris. In contrast, wires exposed to supplementary CPP-ACP exhibited smooth surface areas interspersed with microdefects and deposits. Statistically significant differences in nickel content were found between the new and retrieved archwires, as well as between wires exposed to routine oral hygiene and CPP-ACP (P < 0.001). The archwires exposed to CPP-ACP had the lowest nickel content (P < 0.001). CONCLUSION: The use of CPP-ACP holds promise for application as a safe anticariogenic agent with possible protective properties during orthodontic treatment.


Assuntos
Fosfatos de Cálcio , Caseínas , Fosfopeptídeos , Humanos , Níquel/química , Titânio/química , Ligas Dentárias/química , Aparelhos Ortodônticos Fixos , Propriedades de Superfície , Teste de Materiais
5.
Braz Dent J ; 34(6): 40-49, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38133091

RESUMO

This study evaluated a method to determine the spatial geometry of root canal preparation (RCP) using navigation dynamics and a specific algorithm from a new CBCT software (e-Vol DX). CBCT scans of 168 root canals of mandibular molars were acquired before and after RCP, using nickel-titanium (NiTi) instruments (ProTaper Next, BioRace, Reciproc Blue, and WaveOne Gold). The spatial geometry of the root canals and the operative risk of disproportional wear of dentinal walls after RCP were evaluated using a new CBCT software. A 3-point scoring system was used after the measuring of cementum/dentin thickness before and after RCP in all root thirds. The root thirds were distributed into three parts of similar sizes, and the scores were categorized at three levels: 1. mild risk (1/3), 2. moderate risk (2/3), 3. severe risk (3/3). These levels were proposed according to the risk of creating disproportionate shapes, thin walls, or perforations. The data were analyzed statistically by Fischer's exact test (α = 5%). There were no significant differences in operative risk among the NiTi engine-driven systems, for the distal or mesial walls of all the root canal thirds (p>0.05). The spatial geometry method to assess operative risk allows clinical planning for a predictable enlargement of the root canal in all root thirds. Based on using a map-reading strategy on root canals in CBCT scans, NiTi engine-driven instruments did not present an increased operative risk during RCPs.


Assuntos
Cavidade Pulpar , Tomografia Computadorizada de Feixe Cônico Espiral , Ligas Dentárias , Dentina , Preparo de Canal Radicular , Titânio , Algoritmos , Software , Desenho de Equipamento
6.
Aust Dent J ; 68 Suppl 1: S24-S38, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37960998

RESUMO

The introduction of nickel-titanium (NiTi) mechanical instruments dramatically changed clinical endodontics over the last few decades. Before NiTi, it was necessary to use more instruments to create an ideal root canal shape, and many approaches, sequences and techniques were developed over the years. Recently, NiTi endodontic instruments have undergone a series of changes brought about by modifications in design, surface treatments, and thermal treatments to improve their root canal preparation outcomes and reduce associated canal preparation risks during root canal treatment. Heat treatment is one of the most fundamental approaches to improving the fatigue resistance and flexibility of NiTi endodontic instruments. In addition, new kinematics have been developed to offer greater safety and efficiency. This narrative review describes the general properties and manufacturing of NiTi instruments, and the mechanical system evolution of NiTi instruments.


Assuntos
Ligas Dentárias , Preparo de Canal Radicular , Humanos , Preparo de Canal Radicular/métodos , Níquel , Titânio , Desenho de Equipamento , Teste de Materiais , Instrumentos Odontológicos
7.
BMC Oral Health ; 23(1): 816, 2023 10 29.
Artigo em Inglês | MEDLINE | ID: mdl-37898800

RESUMO

BACKGROUND: The purpose of the current in vitro study was to evaluate the surface roughness and hardness of three brands of as-received esthetic coated NiTi archwires and compare them with the same parameters after immersion in artificial saliva. METHODS: Three groups of 0.016 × 0.022 inch epoxy-coated NiTi orthodontic wires [Tooth tone coated NiTi (Ortho Technology, West Columbia, USA), EverWhite NiTi (American Orthodontics, Wisconsin, USA) and Nitanium Super Elastic Tooth Tone Plastic coated (Ortho Organizers, San Marcos, CA, USA)] were compared. Each group was subdivided into five as-received archwire specimens and five archwire specimens retrieved following immersion in artificial saliva for 28 days. Atomic force microscopy was used for analysis of average surface roughness (Sa). Hardness testing was performed using Digital Vickers hardness tester. ANOVA and Kruskal-Wallis tests were used for comparing the wire groups. RESULTS: The ranking of (Sa) values was as follows: Nitanium Ortho Organizers > Everwhite American Orthodontics > Tooth tone Ortho Technology (P > 0.05). Nitanium Ortho Organizers archwires showed significantly greater (Sa) than both other groups following immersion in saliva (P < 0.001). The coating hardness of as-received and post-immersion archwires from Tooth tone Ortho Technology was significantly lower than the other groups (P < 0.001). For all the three types of archwires, the mean hardness of immersed wires was significantly lower than that of the as-received archwires (P < 0.001). CONCLUSIONS: Esthetic coated archwires have shown unpleasant surface changes following exposure to artificial saliva. These surface changes are affected by physical characteristics such as surface roughness and hardness of the coating.


Assuntos
Estética Dentária , Níquel , Humanos , Dureza , Saliva Artificial , Titânio , Fios Ortodônticos , Propriedades de Superfície , Teste de Materiais , Ligas Dentárias
8.
BMC Oral Health ; 23(1): 825, 2023 10 30.
Artigo em Inglês | MEDLINE | ID: mdl-37904159

RESUMO

BACKGROUND: The aim of this study was to evaluate the phase composition, phase transformation temperatures, bending property, and cyclic fatigue resistance of different heat-treated nickel-titanium (NiTi) rotary instruments with the same tip diameter and taper at room (RT; 25 ± 1 °C) and body (BT; 37 ± 1 °C) temperatures. METHODS: Five heat-treated NiTi rotary instruments, HyFlex EDM (EDM), HyFlex CM (CM), Vortex Blue (VB), RE file CT (RE) and JIZAI, and a non-heat-treated NiTi rotary instrument (Mtwo) with a size 40, 0.04 taper were investigated. Temperature-dependent phase transformation was examined with differential scanning calorimetry (DSC). The bending loads of the instruments at RT and BT were evaluated using a cantilever-bending test. Cyclic fatigue resistance at RT and BT was measured using a dynamic test, during which the instruments were rotated in combination with a 2-mm back-and-forth motion in an artificial curved canal, and the number of cycles to failure (NCF) was determined. The results were analyzed using two-way repeated measures analysis of variance, a simple main effect test, and the Bonferroni test (α = 0.05). RESULTS: DSC results indicated that EDM and Mtwo were primarily composed of martensite/R-phase and austenite, respectively, while the other heat-treated instruments were composed of a mix of martensite/R-phase and austenite at the tested temperatures. Regardless of the temperature setting, the bending loads of heat-treated instruments were significantly lower than those of Mtwo (p < 0.05). EDM showed the lowest bending loads and highest NCF at both temperatures (p < 0.05). CM, VB, and JIZAI showed significantly higher bending loads at BT than at RT (p < 0.05). The NCF of all the heat-treated instruments, except VB, was lower at BT than at RT (p < 0.05). At BT, the NCF of CM, VB, RE, and JIZAI were not significantly higher than that of Mtwo (p > 0.05). CONCLUSIONS: Heat-treated NiTi instruments exhibited lower bending loads and higher NCF values than Mtwo. However, this tendency was less pronounced at BT than at RT, especially in the NCF values of instruments with a mixture of martensite/R-phase and austenite phases at the tested temperatures.


Assuntos
Temperatura Alta , Titânio , Humanos , Titânio/química , Níquel/química , Temperatura Corporal , Falha de Equipamento , Ligas Dentárias/química , Teste de Materiais , Instrumentos Odontológicos , Preparo de Canal Radicular , Estresse Mecânico
9.
Int Endod J ; 56(12): 1517-1533, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37800848

RESUMO

AIM: To investigate current endodontic practices, adoption of technologies and continuing education attendance within specialist endodontic practice globally and to identify geographic trends. METHODOLOGY: A web-based survey of endodontic association members in Australia, Britain, Canada, Italy, New Zealand and the USA on routine treatment preferences, armamentarium and education attendance was conducted. Chi-squared, independent sample t-tests, Cochran's Q test and McNemar's test were performed. RESULTS: The survey was completed by 543 endodontists or endodontic post-graduate students. Almost all respondents used the dental operating microscope (DOM, 91.3%), engine-driven nickel-titanium instruments (NiTi, 97.6%), electronic apex locators (EAL, 93.0%), cone-beam computed tomography (CBCT, 91.2%) and calcium silicate-based materials (CSBMs, 93.7%). Dental dam was always used by 99.1%. Over half used irrigation adjuncts (81.8%), warm vertical compaction (74.6%) and heat-treated NiTi (60.2%). Geographic comparison between AP (Asia-Pacific, n = 78), AM (Americas, n = 402) and EM (Europe and Middle East, n = 63) was performed. AM and EM preferred single-visit treatment more (p < .001) and used higher sodium hypochlorite concentrations than AP. AM had more access to CBCT in the workplace (86.6%) than AP (65.4%, p < .001) and used CBCT for routine preoperative assessment (39.6%) more than EM (7.3%, p < .001). Almost all of EM used irrigation adjuncts (95.2%), more than AM (78.1%, p = .001). AP used steroid/antibiotic medicaments most (p < .001) and had the highest attendance at continuing education programmes. CONCLUSION: Several endodontic-specific armamentaria have reached almost complete adoption within global specialist endodontic practice, whilst the continued uptake of newer technologies should be followed over time. Some practising philosophies varied significantly across different geographic regions.


Assuntos
Endodontia , Preparo de Canal Radicular , Humanos , Padrões de Prática Odontológica , Ligas Dentárias , Inquéritos e Questionários
10.
BMC Oral Health ; 23(1): 703, 2023 09 30.
Artigo em Inglês | MEDLINE | ID: mdl-37777753

RESUMO

BACKGROUND: To analyse the changes in surface and nickel ion release characteristics of fractured root canal shaping instruments in a simulated body fluid environment. METHODS: A total of 54 new instruments were studied. The instrument groups consisted of five different NiTi alloys and a stainless-steel alloy. To standardize instrument fracture, a torsional type of failure was created on each instrument. The fractured specimens of each instrument group were randomly divided into three static immersion subgroups of 1 h, 7-day, and 30-day (n = 3). Simulated body fluid (SBF) was prepared to mimic human blood plasma by Kokubo&Takadama protocol for ex situ static immersions at 37ºC. The surfaces were examined via scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy. To determine the quantitative ion release, the retrieved SBFs were analyzed using inductively coupled plasma mass spectrometry. Two-way ANOVA and Tukey post hoc tests sought the statistical significance of the nickel ion values(p < 0.05). RESULTS: In 1 h of immersion, the newly formed structures, exhibiting mostly oxygen signals, were widespread and evident on NiTi surfaces. In contrast, fewer structures were detected on the SS surface in that subgroup. In 7 days of immersion, a tendency for a decrease in the density of the new structures was revealed in NiTi groups. The oxygen signals on NiTi group surfaces significantly increased, contrary to their decrease in SS. Signals of sodium, chlorine, and calcium were detected, indicating salt precipitates in groups. In 30 days of immersion, salt precipitates continued to form. The Ni-ion release values in all instrument groups presented significant differences in comparison to the SBF control in all immersion periods(p < 0.001). No significant differences were observed in immersion time periods or instrument groups(p > 0.05). CONCLUSIONS: Within the limitations of the presented study, it was concluded that the fractured SS and NiTi root canal instruments release Ni ions in contact with body fluid. However, the Ni ion release values determined during the observation periods are lower than the critical toxic or allergic thresholds defined for the human body. This was due to the ionic dissolution cycle reaching a stable state from 1-hour to 30-day exposure to the body fluid of fractured instruments.


Assuntos
Níquel , Tratamento do Canal Radicular , Humanos , Níquel/química , Ligas , Ligas Dentárias/química , Titânio/química , Íons , Preparo de Canal Radicular , Propriedades de Superfície , Teste de Materiais , Desenho de Equipamento
11.
Am J Orthod Dentofacial Orthop ; 164(5): e129-e138, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37656072

RESUMO

INTRODUCTION: The objective of this study was to determine and compare the moment-to-force (Mc/F) ratio and the type of tooth movement generated in the anterior and posterior segments in orthodontic space closure with stainless steel and titanium-molybdenum alloy loop archwires. METHODS: Three-dimensional model of the maxilla from which the first premolar was extracted, 18 × 25-mil slot stainless steel brackets, and 16 × 22-mil stainless steel and ß titanium-molybdenum alloy (TMA) closing loop archwires with anterior gable bend of 15° and posterior gable bend of 25° were constructed. The archwires were engaged in the brackets, and 1-mm activations were carried out, which were repeated 5 times. The anterior and posterior segment Mc/F ratio and the type of tooth movement generated by the 2 wires were compared. RESULTS: It was found that the Mc/F ratio for the anterior segment was approximately 5 mm, and for posterior teeth was approximately 10 mm for both stainless steel and TMA closing loop archwire. The anterior teeth exhibited controlled tipping, whereas the posterior teeth showed bodily tooth movement, which was in accordance with the Mc/F ratio that was obtained. CONCLUSIONS: The Mc/F ratio and the type of tooth movement exhibited by stainless steel and TMA closing loop archwires were similar in both anterior and posterior segments.


Assuntos
Braquetes Ortodônticos , Aço Inoxidável , Humanos , Molibdênio , Titânio , Análise de Elementos Finitos , Fricção , Fios Ortodônticos , Análise do Estresse Dentário , Ligas , Ligas Dentárias , Teste de Materiais , Desenho de Aparelho Ortodôntico
12.
J World Fed Orthod ; 12(6): 260-268, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37709635

RESUMO

BACKGROUND: To determine the effect of silver and silver chitosan nanocoatings on monocrystalline ceramic, polycrystalline ceramic, and metallic brackets regarding friction, roughness, and antibacterial effect against Streptococcus mutans. METHODS: A total of 99 upper right premolar brackets with a 0.022 × 0.025 -inch slot were divided into three groups, each 33 according to coating material; the non-coated group, silver nanoparticles (AgNPs), and silver chitosan nanoparticles (Ag-CsNPs) groups. Each group was equally subdivided into the following three subgroups regarding bracket materials: monocrystalline ceramic, polycrystalline ceramic, and metallic brackets. A universal testing machine determined static friction on a custom-made acrylic jig. Then a profilometer machine was used to collect roughness data, and finally, the anti-cariogenic effect was measured with the disc diffusion technique's "minimum zone of inhibition" against Streptococcus mutans. Two-way ANOVA was used to compare data between groups and subgroups, followed by the Bonferroni test for multiple pair-wise comparisons. RESULTS: The nanocoating effect on ceramic brackets' static friction was non-significant. The AgNPs and Ag-CsNPs coated metallic group revealed a significant increase in static friction-a significant effect of the nanocoating in the surface roughness of monocrystalline and polycrystalline ceramic brackets. A significant favorable effect of AgNPs and Ag-CsNPs against Streptococcus mutans was observed. CONCLUSIONS: AgNPs and Ag-CsNPs coats are unsuitable for decreasing friction in metallic brackets or improving roughness in polycrystalline ceramic brackets. Nano coating can improve roughness in monocrystalline ceramic brackets. Coating brackets with AgNPs and Ag-CsNPs has a tremendous antibacterial effect on Streptococcus mutans, a substantial factor in the incidence of dental caries.


Assuntos
Quitosana , Cárie Dentária , Nanopartículas Metálicas , Braquetes Ortodônticos , Humanos , Fricção , Prata/farmacologia , Ligas Dentárias/química , Quitosana/farmacologia , Fios Ortodônticos , Propriedades de Superfície , Streptococcus mutans , Antibacterianos/farmacologia
13.
Int Orthod ; 21(4): 100810, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37774499

RESUMO

OBJECTIVES: A TiNb alloy wire (GUMMETAL® [GM], Toyota Central R&D Labs, Inc., Nagakute, Japan) was recently developed with unique properties for orthodontic applications. This pilot split-mouth randomized controlled trial compared maxillary canine retraction during space closure using sliding mechanics on GM vs. stainless steel (SS) archwires. METHODS: Subjects who met the inclusion criteria were treated with fixed appliances and maxillary first-premolar extractions between September 2020 and March 2022. After leveling and aligning, maxillary archwires, fabricated by crimping together segments of 0.016×0.022" GM and SS archwires, were placed and canine retraction initiated using nickel-titanium coil springs. Digital models of the maxillary arch were superimposed at 0, 4, 8 and 12 weeks and the amount of canine movement (mm), rate of movement (mm/month), and 3-dimensional changes (rotational, vertical extrusion, tip) were measured and compared statistically. RESULTS: Of the 12 subjects recruited, only six completed the study with a median age of 15.8 years (12.0-17.4 years). At 12 weeks, the median canine retraction was 3.41mm (IQR: 2.10, 4.76) with GM versus 3.71mm (IQR: 1.62, 6.45) with SS. The retraction rate was 1.14mm/month (IQR: 0.69, 1.59) with GM, versus 1.24mm/month (IQR: 0.54, 2.15) with SS. The median rotational, vertical and tip changes of the canine were 7.90̊, 0.59mm and 6.15̊ with GM, and 7.25̊, 0.29mm and 2.05̊ with SS. Intergroup differences with all measurements were not statistically significant. CONCLUSION: No significant differences were found between GM and SS during maxillary canine retraction. GM demonstrated clinical potential for space closure mechanics, however, future larger studies are needed.


Assuntos
Ligas Dentárias , Aço Inoxidável , Humanos , Adolescente , Fios Ortodônticos , Fechamento de Espaço Ortodôntico/métodos , Ligas , Boca , Titânio , Técnicas de Movimentação Dentária/métodos , Dente Canino
14.
Int Orthod ; 21(4): 100812, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37776695

RESUMO

BACKGROUND: This study aimed to compare tubular coaxial-NiTi and copper-NiTi orthodontic aligning archwires in terms of teeth alignment, patients' pain perception, and root resorption. SUBJECTS AND METHODS: Orthodontic patients aged 12 years or older, having Little's irregularity index (LII) of 5-9mm were randomly allocated to either the copper-NiTi group or tubular coaxial-NiTi group with a 1:1 allocation ratio. The archwire sequence was 0.014-inch followed by 0.018-inch for the copper-NiTi group and 0.016-inch followed by 0.018-inch for the tubular coaxial-NiTi group. Each archwire was left in place for eight weeks before progressing to the next size. Good quality impression for the lower arch before treatment (T0) and thereafter every 4 weeks up to 16 weeks was taken to measure LII. Evaluation of pain perception was performed using a visual analog scale (VAS) during the first week following each archwire insertion. Assessment of root resorption was undertaken at T0 and after 16 weeks by taking periapical radiographs for mandibular central incisors using the long cone paralleling technique. RESULTS: A total of 33 patients were randomized and selected for participation. Of those, 31 patients with a mean age of 15.45±2.22 who completed the trial were included in the analyses (15 patients in the copper-NiTi group and 16 patients in the tubular coaxial-NiTi group). In both groups, the irregularity index significantly decreased after 16 weeks of treatment with an overall reduction of 5.22mm for the copper-NiTi group and 6.03mm for the tubular coaxial-NiTi group. However, the difference between the two groups was not statistically significant. Likewise, pain perception and root resorption were not significantly different between the two study groups. CONCLUSIONS: Both copper-NiTi and tubular coaxial-NiTi archwires were equally effective in terms of teeth alignment, patients' pain perception, and root resorption. Consideration could be given to the cost and clinician preference when selecting an initial archwire. REGISTRATION: the trial was registered in ClinicalTrials.gov on 26/05/2022 with a registration ID: NCT05391542, https://clinicaltrials.gov/ct2/show/NCT05391542.


Assuntos
Cobre , Reabsorção da Raiz , Humanos , Adolescente , Ligas Dentárias , Níquel , Titânio , Reabsorção da Raiz/diagnóstico por imagem , Fios Ortodônticos
15.
Dent Mater J ; 42(5): 732-738, 2023 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-37612059

RESUMO

The aim of this study was to investigate the effect of repeated casting and heat treatment on the corrosion resistance of a commercial Ag-Pd-Cu-Au alloy as evaluated by electrochemical techniques. After repeated casting, the fifth cast of the Ag-Pd-Cu-Au alloy exhibited dramatic degradation of properties, although upon heat treatment, this corrosion resistance did improve. Despite the improvement by heat treatment, after five castings, this alloy may not have satisfactory hardness for clinical use. These results of this study demonstrate that, up to the fourth cast and heat treatment, the Ag-Pd-Cu-Au alloy has acceptable corrosion resistance and hardness.


Assuntos
Corrosão , Ligas Dentárias , Técnica de Fundição Odontológica , Temperatura Alta , Teste de Materiais , Ligas/química , Cobre/química , Ligas Dentárias/química , Ligas de Ouro/química , Teste de Materiais/métodos , Paládio/química , Prata/química , Técnica de Fundição Odontológica/efeitos adversos , Técnica de Fundição Odontológica/normas
16.
Clin Oral Investig ; 27(9): 5671-5678, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37530893

RESUMO

OBJECTIVES: To compare between two archwire (AW) sequences in terms of alignment speed and root resorption (RR). MATERIALS AND METHODS: Fifty-four patients (14 males, 40 females) requiring orthodontic treatment were randomly allocated into two groups; in group A (mean age 18.3) treatment started with 0.014″ nickel titanium (NiTi) followed by 0.019″×0.025″ NiTi AW while group B (mean age 18.9) the AW sequence was 0.014″ NiTi, 0.018″ NiTi, 0.016″×0.022″ NiTi, 0.019″×0.025″ NiTi. The primary outcome was to compare the alignment speed of the crowded upper and lower teeth between the two different AW sequences. The secondary outcome was to assess the magnitude of upper and lower incisors' root resorption (RR) measured by digital periapical radiographs taken at the start of treatment and 1 month after the placement of the working AW. t-test was used to compare the alignment speed and RR between the two groups. Statistical significance was predetermined at the P ≤ 0.05 level for all tests. RESULTS: The 54 patients were randomized in a 1:1 ratio to either group. Seven patients were excluded and complete data were obtained for 47 patients; 24 and 23 patients in group A and group B, respectively. There was no significant difference between the two groups in the alignment speed in the lower arch (P>0.05, mean difference=-0.44, 95% CI=-0.9 to 0.03) and root resorption (P>0.05). Alignment of upper arch was faster in group A (P < 0.0001, mean difference= - 0.9, 95% CI =-1.4 to -0.5). CONCLUSIONS: There is no significant difference between the two groups in the alignment speed in the lower arch and incisors' RR. Upper arch alignment was faster in group A. TRIAL REGISTRATION: Not registered.


Assuntos
Ligas Dentárias , Reabsorção da Raiz , Masculino , Feminino , Humanos , Adolescente , Fios Ortodônticos , Reabsorção da Raiz/diagnóstico por imagem , Técnicas de Movimentação Dentária , Titânio
17.
J Mech Behav Biomed Mater ; 146: 106080, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37643540

RESUMO

The present work describes green-mediated copper oxide nanoparticles as a potential corrosion inhibitor for the dental alloy Ti-6Al-4V. The salt of copper was reduced to metal nanoparticles using Murraya koenigii leaves, which helps with the agglomeration and nanocluster formation through a reduction mechanism. The current synthesis is a single-step process and is cost-effective. The synthesized nanoparticle was characterized using UV, FTIR, XRD, Zeta potential and Particle size analyzer, SEM, and EDX. The particles were then electrodeposited on Ti-6Al-4V alloy, and the corrosion resistivity in the dental medium was analyzed using Electrochemical parameters such as Corrosion current, Corrosion potential, and anodic and cathodic intercepts through the Tafel and Nyquist plots. The synthesized nanoparticles showed characteristic absorbance at 359 nm. FTIR peaks confirm the phytochemical constituents present in the Murraya koenigii that accounts for the formation of nanoparticles. The XRD predicts the crystalline nature, which is further studied using SEM and EDX. The Zeta potential and Particle size analyzer confirms the negative-negative interactive nature of the synthesized CuO NPs. The NPs showed explicit corrosion inhibition properties with an overall inhibition efficiency of 58.15% and 25.6%, respectively. The study confirms the advantage of using Copper Oxide nanoparticles as a potential coating agent in dental implant alloys in increasing its corrosion efficiency.


Assuntos
Nanopartículas Metálicas , Murraya , Corrosão , Cobre , Ligas , Ligas Dentárias , Óxidos
18.
Aust Endod J ; 49(3): 592-598, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37592880

RESUMO

The aim of this study was to compare the cyclic fatigue resistance of nickel-titanium instruments inside single and double-curved canals at different temperatures. 160 HyFlex EDM #20.05 (HEDM), VDW.ROTATE #20.05 and #25.06, Mtwo #25.06 were randomised (n = 10) for the dynamic cyclic fatigue tests according to the curvature (i.e. single and double) at 20° ± 1°C and 35° ± 1°C. The number of cycles to fracture (NCF) was analysed by two-way ANOVA with p < 0.05. Fatigue resistance of all instruments significantly decreased at body temperature in single and double curvatures, except for HEDM in double curvature. The NCF was significantly lower in double curvature than single at both temperatures for all files, except for VDW.ROTATE #20.05 at 35° ± 1°C. Within the study limitations, temperature significantly impaired cyclic fatigue resistance of all files except HEDM #20.05 in double curvature. Similarly, double curvature had a detrimental effect on cyclic fatigue resistance of all files except for VDW.ROTATE #20.05 at body temperature.


Assuntos
Instrumentos Odontológicos , Níquel , Titânio , Temperatura Corporal , Ligas Dentárias , Desenho de Equipamento , Falha de Equipamento , Teste de Materiais , Preparo de Canal Radicular , Resistência à Flexão
20.
Rev. Asoc. Odontol. Argent ; 111(2): 1110871, mayo-ago. 2023. ilus
Artigo em Espanhol | LILACS | ID: biblio-1537147

RESUMO

El objetivo de esta comunicación es describir y analizar el sistema BlueShaper para la preparación quirúrgica mecaniza- da de los conductos radiculares. El sistema dispone de un set básico de 4 limas: Z1, Z2, Z3 y Z4, con un D0 de 0,14 mm, 0,17 mm, 0,19 mm y 0,25 mm respectivamente y conicidad variable que oscila entre el 2 y 10 %. La lima Z1 posee una aleación Pink, que le confiere mayor resistencia a la torsión y una gran capacidad de corte. Las limas Z2, Z3 y Z4 presentan una aleación Blue que aumenta la resistencia a la fatiga cíclica e incrementa su flexibilidad. Para conductos radiculares más amplios se incluyen, además, las limas Z5, Z6 y Z7. La empresa comer- cializa conos de gutapercha BlueShaper que se corresponden con las limas Z3, Z4, Z5, Z6 y Z7. El sistema de limas mul- tialeación Blue Shaper podría considerarse como un nuevo aporte clínico para la preparación mecánica de los conductos radiculares (AU)


The aim of this communication was to describe and analyze the BlueShaper system for the mechanized surgical preparation of root canals. The system has a basic set of 4 files: Z1, Z2, Z3 and Z4, with 0.14 mm, 0.17 mm, 0.19 mm and 0.25 mm DO respective- ly, and variable conicity ranging between 2 and 10 %. Z1 file has a Pink alloy, which gives it greater resistance to torsion and great cutting capacity. The Z2, Z3 and Z4 files feature a Blue alloy that increases resistance to cyclic fatigue and increases their flexibility. For larger root canals, the Z5, Z6 and Z7 files are also included. The company supplies specific BlueShaper ́s gutta-percha cones for Z3, Z4, Z5, Z6 and Z7 files. The BlueShaper multialloy file system could be consid- ered as a new clinical contribution for the mechanical prepa- ration of root canals (AU)


Assuntos
Preparo de Canal Radicular/instrumentação , Ligas Dentárias , Instrumentos Odontológicos , Rotação , Termodinâmica , Torção Mecânica
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